Overview Three points: Point 1: Issues Point 2: An Approach Point - - PDF document

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Overview Three points: Point 1: Issues Point 2: An Approach Point - - PDF document

Nov 10, 2023 327 likes •461 views

Environmental Approaches for Promoting Environmental Approaches for Promoting Environmental Approaches for Promoting Environmental Approaches for Promoting Physical Activity Adherence in People with Physical Activity Adherence in People with

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Environmental Approaches for Promoting Environmental Approaches for Promoting Environmental Approaches for Promoting Environmental Approaches for Promoting Physical Activity Adherence in People with Physical Activity Adherence in People with Physical Activity Adherence in People with Physical Activity Adherence in People with Chronic Conditions and Disability Chronic Conditions and Disability Chronic Conditions and Disability Chronic Conditions and Disability

James James James James H. Rimmer, Ph.D, Professor

  • H. Rimmer, Ph.D, Professor
  • H. Rimmer, Ph.D, Professor
  • H. Rimmer, Ph.D, Professor

Lakeshore Foundation Endowed Chair in Health Promotion and Lakeshore Foundation Endowed Chair in Health Promotion and Lakeshore Foundation Endowed Chair in Health Promotion and Lakeshore Foundation Endowed Chair in Health Promotion and Rehabilitation Sciences Rehabilitation Sciences Rehabilitation Sciences Rehabilitation Sciences Director, UAB/Lakeshore Director, UAB/Lakeshore Director, UAB/Lakeshore Director, UAB/Lakeshore Foundation Research Collaborative Foundation Research Collaborative Foundation Research Collaborative Foundation Research Collaborative School of Health School of Health School of Health School of Health Professions Professions Professions Professions ENACT SOS Conference ENACT SOS Conference ENACT SOS Conference ENACT SOS Conference April 7, 2014 April 7, 2014 April 7, 2014 April 7, 2014

Overview

Three points:

Point 1: Issues Point 2: An Approach Point 3: Future Research

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Barriers to Exercise Reported by People with Chronic Health Conditions and Disability

72 65 49 44 39 39 36 32 22 20 19 18 18 7 4 4 33 20 19 6 53 51 10 20 30 40 50 60 70 80

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BARRIERS % of participants

Cost Don’t Know Where Lack of Support Transportation Lack of Accessible Facility

Don’t Know How

PAIN

Rate of Secondary Conditions in PEP Participants Vs. Disabled and Non- Disabled Cohorts (Kinne et al. 2004)

Condition Rate in Total Sample, % (n=2075) Rate in Disability Group, % (n=545) Rate in Chicago Group, % (n=92) Rate in No Disability Group, % (n=1530) Chronic pain in muscles, joints 23.8 55.6 62.1 14.2 Sleep problems 22.4 41.8 62.4 16.3 Extreme fatigue 20.7 44.8 54 13.2 Weight or eating problems 19.8 39 77.9 13.7 Periods of depression 17.2 33.5 31.4 12.1 Skin problems 14.2 22 22.7 9 Muscle spasms 11.4 25.5 7 Respiratory infections (not colds) 10.9 20.9 7.8 Falls or other injuries 10.2 20.6 6.9 Bowel/bladder problems 9.8 22.8 41.4 5.7 Serious episodes of anxiety 9.6 19.9 27.6 6.3 Lack of romantic relationships 8.4 14.9 6.3 Problems getting out/getting around 8.3 22.4 53.5 3.9 Problems making/seeing friends 7.4 12.7 5.7 Feelings of being isolated 5.6 14.8 55.3 5.3 Asthma 5.3 12.2 34.9 3.4 Deconditioning 100 Data compared to Kinne et al. (2004)

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Environmental Approaches for Environmental Approaches for Environmental Approaches for Environmental Approaches for Promoting Physical Activity Adherence in Promoting Physical Activity Adherence in Promoting Physical Activity Adherence in Promoting Physical Activity Adherence in People with Chronic Conditions and People with Chronic Conditions and People with Chronic Conditions and People with Chronic Conditions and Disability Disability Disability Disability

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Elements of Physical Activity Adherence

Socially Engaging Exercise Environments

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Enjoyable Environments

Was it a pleasant experience? Elements of Enjoyment

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Learning Environments

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Exploratory Environments Competitive Environments

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Task Completion Environments

How Do We Begin Building SELECT into communities?

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Customization

Lakeshore Foundation Transitional Model from Recovery to Health

Recovery Health Therapist Inpatient/ Outpatient Rehabilitation Facility Therapy Function Health Therapist/ Trainer Outpatient Specialty Fitness Facility Improving rehabilitation

  • utcomes

Fitness Performance/ Health Trainer/ Telecoach Postdischarge Community Fitness Facility Aerobic, muscle strength, muscle endurance, flexibility, body composition Performance Trainer/ Telecoach Postdischarge Community Performance- based skills for work, leisure, or sport participation Prevention Trainer/ Telecoach Postdischarge Community Lifetime physical activity

Rehabilitation Functional Exercise Fitness Health Maintenance Conditioning

PROGRAM FOCUS PROFESSIONAL TIMELINE SETTING ExRx

*DALEEDS: Disability-Associated Low Energy Expenditure Syndrome

Decline in health & function Accident (fall), new injury, exacerbation, DALEEDS* Hospitalization for major injury or health event

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Functional Exercise

Training

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Health Promotion Transition Model for People with Chronic Conditions and Disabilities

  • !"

Rehab Med, Rehabilitation Medicine; RCEP, Registered Clinical Exercise Physiologist; CIFT, Certified Inclusive Fitness Trainer

Sample Transitional (or Booster) Programs

Beyond Therapy – Shepherd Center, Atlanta, GA Brooks Rehabilitation - Stroke Wellness Program – Jacksonville, FL Lakeshore Foundation, Birmingham, AL

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Technical Assistance

ACSM/NCHPAD Partnership

IFC Launch - January 24, 2007 National Press Club - Washington D.C.

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Unique Aspects of Previous Research

Empowerment model Aggressive weekly phone coaching Constant guidance (24/7) Weekly and monthly education through phone contacts, in person meetings, and newsletter Support from a friendly voice Elimination of barriers on a weekly basis

Framing the Future in Activity Adherence

How can we establish a life course approach to activity adherence for people with chronic health conditions and disabilities? How can we establish the infrastructure for monitoring activity adherence? What role can technology play in enhancing activity adherence?